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Individual Membership Renewal
Title
*
Mr.
Ms.
Mrs.
Judge
Dr.
Mx.
Other
Other
First Name
*
Last Name
*
Email Address
*
Spouse/Partner Title
Mr.
Ms.
Mrs.
Judge
Dr.
Mx.
Other
Other
Spouse/Partner First Name
Spouse/Partner Last Name
Birthday
*
+
Choose your membership level
*
Individual - Van Gogh ($2,500)
Individual - Picasso ($1000)
Individual - O'Keeffe ($500)
Individual - Banksy ($200)
Individual - Family ($100)
Individual - Individual ($50)
Individual- Artist ($50)
I want to become a
STAR Volunteer
*
Yes
No
Please send me more information
Notes/Comments
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